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DR. MARISENDA BENITEZ DPM
NPI 1336115864
Podiatrist - Foot Surgery in Waukegan, IL

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
86.65/100
CMS Quality Rating
2504 WASHINGTON ST, SUITE 505, WAUKEGAN, IL 60085(847) 336-9930(847) 336-9937 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marisenda Benitez Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISENDA BENITEZ DPM (NPI 1336115864) is an individual foot surgery provider in Waukegan, Illinois, licensed in Illinois (316-002339) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1336115864
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameDR. MARISENDA BENITEZCredential: DPM
Location Address2504 WASHINGTON ST, SUITE 505Waukegan, IL 60085-3505
Mailing Address2504 Washington St, Suite 505Waukegan, IL 60085-3505 · (847) 336-9930 · Fax (847) 336-9937
Phone(847) 336-9930
Fax(847) 336-9937
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1999
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJune 8, 2015
✔ NPI 1336115864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in IL · 316-002339
2504 WASHINGTON ST, Waukegan, IL 60085
Open in Google Maps ↗

Other Identifiers 6

Other6318020001IL · Dme
Medicare UPINU90775IL
Medicaid016005165IL
Other0001623503IL · Blue Cross
OtherPTAN# POO414506IL · Railroad Group Cg8029
Other5410292IL · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marisenda Benitez Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618975897
PECOS Enrollment IDI20061122000381
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
597 services214 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
128 services45 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
111 services97 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.31
Improvement Activities40

Reported Quality Measures

Advance Care Plan
8%368 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%134 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%263 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%158 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%158 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
19%1,384 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%572 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,384 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 47% · 479 patients
45%479 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%179 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 372 patients
Patients totalRate: 1% · 372 patients
0%372 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUSSELL E SCHNEIDER DDS
Dentist (General Practice)
2504 WASHINGTON ST, #500
WAUKEGAN, IL 60085
Lake County (847) 336-2175
COGNITIVE PATHWAYS
Community/Behavioral Health
2504 WASHINGTON ST, SUITE 403
WAUKEGAN, IL 60085
Lake County (224) 733-1615
MS. DIANE MARIE GORMAN I LCSW
Social Worker (Clinical)
2504 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 692-6495
ARDEN SHORE CHILD AND FAMILY SERVICES
Community/Behavioral Health
2504 WASHINGTON ST, SUITE 200
WAUKEGAN, IL 60085
Lake County (847) 662-4464
FKLEUNG, MD, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2504 WASHINGTON ST, SUITE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590
DRS SARSHA WILLIAMS DANDINO & ASSOC LTD
Dentist (General Practice)
2504 WASHINGTON ST, SUITE 500
WAUKEGAN, IL 60085
Lake County (847) 336-0700
YOGINDER KUMAR MD
Internal Medicine
2504 WASHINGTON ST, SUITE 103
WAUKEGAN, IL 60085
Lake County (847) 244-6800
DR. GUILLERMO ARIZONA D.D.S.
Dentist (General Practice)
2504 WASHINGTON ST, STE 100
WAUKEGAN, IL 60085
Lake County (847) 662-6940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisenda Benitez's NPI number?

The NPI number for Marisenda Benitez is 1336115864. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Marisenda Benitez located?

Marisenda Benitez practices at 2504 Washington St Suite 505, Waukegan, IL 60085. The listed phone number is (847) 336-9930.

What is Marisenda Benitez's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Marisenda Benitez enrolled in Medicare?

Yes. Marisenda Benitez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marisenda Benitez accept?

Health plans from UnitedHealthcare list Marisenda Benitez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisenda Benitez was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.